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Nicole Marie Heavner
Peer Specialist in Huntington, West Virginia
NPI 1962146845

Nicole Marie Heavner is a Peer Specialist based in Huntington, WV. Nicole Marie Heavner practices in Huntington, WV. The NPI Number for Nicole Marie Heavner is 1962146845 and holds a License No. (West Virginia).

The current practice location address for Nicole Marie Heavner is 900 20Th St, Huntington, WV and can be reached out via phone at 681-378-3908. You can also correspond with Nicole Marie Heavner through the mailing address at 402 6TH AVE, HUNTINGTON, WV - 25701-1950 (mailing address contact number: 681-362-3747).

Location: 900 20Th St, Huntington, WV, 25701-1950
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Provider Profile Details
NPI Number
1962146845
Provider Name
Nicole Marie Heavner
Credential
Provider Entity Type
Individual
Gender
Female
Address
900 20Th St, Huntington, WV, 25701-1950
Phone Number
681-378-3908
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175T00000X 05 WV
institution
Provider Business Practice Location Address Details
Address
900 20Th St
City
State
Zip
25703-1810
Phone Number
681-378-3908
Fax Number
person
Provider Business Mailing Address Details
Address
900 20Th St
City
State
Zip
25703-1810
Phone Number
681-378-3908
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(West Virginia)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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